Organization
THE ADAM DIXON PERSEVERANCE FOUNDATION
Active
Organization
THE ADAM DIXON PERSEVERANCE FOUNDATION
Active
Other names
The Adam Dixon Perseverance Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM CONLEY DIXON (CEO)
(480) 560-6370
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE # 300-14, PHOENIX, AZ 85015-3210
(480) 560-6370
Mailing address
5060 N 19TH AVE # 300-14, PHOENIX, AZ 85015-3210
(480) 560-6370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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